Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $5,040.00 / $10,637.11	Facility		$1,749.00	$5,040.00	$10,637.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,305.00 / $1,627.07 / $2,114.27	Professional		$1,305.00	$1,627.07	$2,114.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,415.11 / $1,830.99 / $3,027.17	Professional		$1,415.11	$1,830.99	$3,027.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,638.86 / $1,752.23 / $7,889.00	Professional		$1,638.86	$1,752.23	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $900.00 / $1,736.96	Facility		$900.00	$900.00	$1,736.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,426.00 / $1,807.75 / $3,325.45	Professional		$1,426.00	$1,807.75	$3,325.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,467.59 / $1,881.92 / $2,224.09	Professional		$1,467.59	$1,881.92	$2,224.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,467.59 / $1,917.02 / $2,860.61	Facility		$1,467.59	$1,917.02	$2,860.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,773.00 / $2,066.00 / $2,921.00	Professional		$1,773.00	$2,066.00	$2,921.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,295.84 / $1,860.86 / $3,440.00	Facility		$1,295.84	$1,860.86	$3,440.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,295.84 / $1,860.86 / $3,440.00	Professional		$1,295.84	$1,860.86	$3,440.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $2,863.00 / $5,340.00	Facility		$1,713.00	$2,863.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,121.83 / $1,738.70 / $2,930.75	Professional		$1,121.83	$1,738.70	$2,930.75